The next case was forwarded on medical descriptive lists from the FIRST DIVISION of the ALEXANDRIA HOSPITAL, Virginia, Surgeon Edwin Bentley, U. S. V., in charge:

CASE 441.—Private Emmanuel Straw, company I, 58th Pennsylvania volunteers; admitted from Washington street prison September 26, 1864. Chronic diarrhœa. This case was complicated with hemorrhoids. There was great irritability of the stomach from the time of admission. Died comatose, October 21st. Autopsy eight hours after death: Both lungs presented patches of black pigment superficially, but were otherwise healthy; old pleuritic adhesions connected the lower lobe of the right lung to the thoracic parietes. The liver was unusually large, and presented the nutmeg appearance. The small intestine was inflamed throughout; the colon extensively ulcerated. Kidneys fatty.